Individual
DR. ALISSA S REXO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25251 BEACH PLACE, CHANTILLY, VA 20152
(703) 473-4116
Mailing address
25251 BEACH PLACE, CHANTILLY, VA 20152
(703) 473-4116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0301201746
VA
174400000X
Specialist
6530
MD
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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